Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $295.12 / $309.03	Professional		$288.40	$295.12	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $831.76	Professional		$257.04	$302.00	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $512.86	Professional		$309.03	$446.68	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $208.93 / $323.59	Facility		$158.49	$208.93	$323.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $478.63	Professional		$269.15	$457.09	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $208.93 / $323.59	Facility		$151.36	$208.93	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $1,659.59	Professional		$263.03	$263.03	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $645.65 / $891.25	Professional		$302.00	$645.65	$891.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $1,659.59	Facility		$309.03	$309.03	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $1,659.59	Professional		$309.03	$389.05	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $407.38	Professional		$302.00	$302.00	$407.38